{"id":3251,"date":"2023-07-26T23:35:10","date_gmt":"2023-07-26T23:35:10","guid":{"rendered":"https:\/\/wapcpharm.org\/journal\/?p=3251"},"modified":"2023-07-28T11:11:01","modified_gmt":"2023-07-28T11:11:01","slug":"elementor-3251","status":"publish","type":"post","link":"https:\/\/wapcpharm.org\/journal\/elementor-3251\/","title":{"rendered":"West African Journal of Pharmacy (2022) 33 (2) 21 – 31"},"content":{"rendered":"\t\t
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Improving Pharmacy Services within National Health Insurance Scheme for better performance<\/strong><\/p>


<\/b>Idia O. Anibilowo , Ibrahim A. Oreagba
1. Community Health Access & Consultancy (CHAcceC) Ltd.
2. Department of Pharmacology and Clinical Toxicology, College of Medicine, University of Lagos.<\/p>

\u00a0
Corresponding author: Idia O. Anibilowo
Email: anibilowo@yahoo.com Telephone : +234 813 532 7454<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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ABSTRACT<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Background: Following many attempts at implementing policy strategy on health insurance since 1960, NHIS was\u00a0eventually launched in 2005. It has a mandate for universal health coverage for Nigeria. The important roles of\u00a0pharmacies are discernible in NHIS statutory objectives, though the NHIS operation is largely to the exclusion of\u00a0Pharmacists Council of Nigeria (PCN)-licensed pharmacies.<\/p>

Objectives:<\/b> This review was carried out to create an awareness about the exclusion of pharmacists and the\u00a0pharmacy profession in NHIS operations, and to recommend practical solutions.<\/p>

Method:<\/b> We conducted a review of relevant literature on health financing and provider payment mechanisms, in\u00a0addition to NHIS and PCN documents relevant to NHIS operations.<\/p>

Results:<\/b> The healthcare financing function of strategic purchasing, and the closely related provider payment\u00a0mechanisms are well defined in NHIS documents. NHIS adopts global capitation among other provider payment\u00a0mechanisms, to control costs. The implementation is evolving and could benefit from periodic evaluation of NHIS\u00a0payment methods. Other identified implementation gaps include the exclusion of pharmacies as legal entities and
other health professionals.<\/p>

Conclusion:<\/b> The adoption of global capitation, and the consequent exclusion of some healthcare providers, can be\u00a0seen to be detrimental to NHIS’ overall performance, and enrolees’ satisfaction. For improved performance,\u00a0recommendations include – re-designing NHIS provider payment system by contextualising lessons from countries
like the Kyrgyz Republic; harnessing the expertise of all health professionals including licensed pharmacies; Also,\u00a0PCN needs to craft professional development strategy to hone pharmacists’ prerequisite skills for providing\u00a0pharmaceutical care which Nigerians direly need.
Key words:<\/b> NHIS, Provider payment mechanism; Health Financing; pharmaceutical services<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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